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Mental Health (Expert Forum)
Treatment
Answered by
Roger Gould, M.D. - Mental Health, Wellness
Questions posted in the Mental Health forum are being answered by Dr. Roger L. Gould, author of the Mastering Stress and Depression program and affiliated with the UCLA. Department of Psychiatry. Topics covered include anger, attention deficit disorder (ADD) , bipolar disorder , dementia , electroconvulsive therapy (ECT) , learning disabilities, memory, obsessive compulsive disorder (OCD) , panic , personality disorders, phobias , post-traumatic stress disorder (PTSD) , schizophrenia , stress , transitions, and work problems.
Treatment
by ROODLES, Dec 01, 2001 12:00AM
Is there research published which would indicate that individuals with BPD should not routinely be treated within acute psychiatric wards, particularly, psychiatric intensive care units which specialise in treating severe acute episodes of mental illness?
I am a clinical nurse manager of such a unit and all the research I have read supports my view that as a profession, we do more harm to individuals with BPD by bringing them into the psychiatric system!
I would like to know of more research that would support this hypothesis. As professionals we have a multitude of aims within the treatment we deliver, however, the over-riding factor should be that we as a minimum, we cause 'no harm'!
My experience over the past 15 years is that, as a profession, we have caused harm by trying to manage individuals with BPD within psychiatric in-patient facilities which are unable to effectively treat BPD due to the very nature of the environment. Comments please! Evidence please! Research please. ***@****
I am a clinical nurse manager of such a unit and all the research I have read supports my view that as a profession, we do more harm to individuals with BPD by bringing them into the psychiatric system!
I would like to know of more research that would support this hypothesis. As professionals we have a multitude of aims within the treatment we deliver, however, the over-riding factor should be that we as a minimum, we cause 'no harm'!
My experience over the past 15 years is that, as a profession, we have caused harm by trying to manage individuals with BPD within psychiatric in-patient facilities which are unable to effectively treat BPD due to the very nature of the environment. Comments please! Evidence please! Research please. ***@****
Doctor's Answer
by Roger Gould, M.D., Dec 03, 2001 12:00AM
, Dec 03, 2001 12:00AM
There are strong opinons on both sides of this issue. I recommend you look at articles written by Otto Kernberg and Gunderson. Experts here same some BPD do quite well in inpatient programs while others regresss. It is probably more important to study which ones to well, and why? Is it the setting or the person or the interaction of the two?
